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🦶 Foot & heel — Exercises Studied in Research

Real findings from published clinical studies. Not opinions, not ads — just what researchers actually found, with the evidence behind each approach.

Compiled and reviewed by: Milena OrlandićLicensed Physiotherapist — Specialist in Applied Physiotherapy (Neurorehabilitation) · Nikola OrlandićLicensed Physiotherapist — Specialist in Applied Physiotherapy (Neurorehabilitation) · Bachelor of Pharmaceutical Technology

Evidence last updated:

Does it work? — what research found

Every approach studied for conditions in this area, sorted by where clinical guidelines stand — not by popularity. Open a condition below for its own evidence summary. Full details and dosing are part of the complete review.

ApproachWhat science says
Night Splint (Self-Applied)you can do this at homeStudies: 7 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +5Evidence supports it
Combined Loading (Silbernagel Protocol)you can do this at homeStudies: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3Evidence supports it
Eccentric Exercise (Alfredson Protocol)done with a specialistStudies: 43 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3Evidence supports it
Eccentric Heel Drop (Alfredson Protocol)you can do this at homeStudies: 41 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +3Evidence supports it
Patient Education & Load Managementyou can do this at homeStudies: 4 · Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values., Heel pain-plantar fasciitis: revision 2014. +3Evidence supports it
Heavy Slow Resistance (Home)you can do this at homeStudies: 7 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2Evidence supports it
Heavy Slow Resistance Trainingdone with a specialistStudies: 9 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2Evidence supports it
Progressive Calf Strengtheningyou can do this at homeStudies: 11 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2Evidence supports it
Progressive Loading Programdone with a specialistStudies: 11 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2Evidence supports it
Calf Stretching - Gastrocnemius & Soleus (Home)you can do this at homeStudies: 5 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +1Evidence supports it
Calf Stretching (Gastrocnemius & Soleus)done with a specialistStudies: 4 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +1Evidence supports it
Combined Loading (Silbernagel Protocol)done with a specialistStudies: 4 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Dutch multidisciplinary guideline on Achilles tendinopathy +1Evidence supports it
Show all 81 approaches
ApproachWhat science says
Night Splint (Dorsiflexion Orthosis)done with a specialistStudies: 7 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +1Evidence supports it
Plantar Fascia-Specific Stretch (Home)you can do this at homeStudies: 7 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +1Evidence supports it
Plantar Fascia-Specific Stretchingdone with a specialistStudies: 13 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +1Evidence supports it
Isotonic Calf Exercisedone with a specialistStudies: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Evidence supports it
Manual Therapy — Joint Mobilization (Ankle/Foot)done with a specialistStudies: 2 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Heel pain-plantar fasciitis: revision 2014.Evidence supports it
Radial Extracorporeal Shockwave Therapy (rESWT)done with a specialistStudies: 13 · Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values., Heel pain-plantar fasciitis: revision 2014.Evidence supports it
Criteria-Based Rehabilitationdone with a specialistStudies: 3 · Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020)Evidence supports it
High Tendon Compression Rehabilitationdone with a specialistStudies: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Evidence supports it
High-Load Strength Training (Rathleff Protocol)done with a specialistStudies: 7 · Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values.Evidence supports it
Low Tendon Compression Rehabilitationdone with a specialistStudies: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024Evidence supports it
Return-to-Sport Progression Criteriayou can do this at homeStudies: 1 · Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020)Evidence supports it
Telehealth / Web-Based Exercisedone with a specialistStudies: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Evidence supports it
Telehealth Exercise Programyou can do this at homeStudies: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final)Evidence supports it
Foot Orthoses (Prefabricated / Custom)done with a specialistStudies: 9 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +5May helpdepends on the stage of recovery
Low-Level Laser Therapy (LLLT / Photobiomodulation)done with a specialistStudies: 4 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +5May helpdepends on the stage of recovery
Dry Needlingdone with a specialistStudies: 4 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +4May help
Isometric Calf Exercisedone with a specialistStudies: 9 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +3May help
Isometric Calf Exercise (Home)you can do this at homeStudies: 7 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +3May help
Acupuncturedone with a specialistStudies: 2 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1May help
Balance & Proprioception (Home)you can do this at homeStudies: three randomized controlled trials · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1May help
Calf Stretching / Flexibilityyou can do this at homeStudies: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1May help
Deep Friction Massage (Cyriax)done with a specialistStudies: 6 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1May help
Extracorporeal Shockwave Therapy (ESWT)done with a specialistStudies: 19 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Dutch multidisciplinary guideline on Achilles tendinopathy +1May help
Foot Orthotic / Insole (Self-Applied)you can do this at homeStudies: 10 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. +1May helpdepends on the stage of recovery
Heel Liftsdone with a specialistStudies: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Dutch multidisciplinary guideline on Achilles tendinopathy +1May help
Passive Stretchingdone with a specialistStudies: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1May help
Prolotherapydone with a specialistStudies: 1 RCT; 1 prospective case series · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1May help
Sensorimotor / Balance Trainingdone with a specialistStudies: 1 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +1May help
Eccentric Exercise + ESWTdone with a specialistStudies: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Current Clinical Concepts: Conservative Management of Achilles Tendinopathy (Silbernagel 2020)May help
General Exercise / Aerobic Activitydone with a specialistStudies: 4 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Heel pain-plantar fasciitis: revision 2014.May help
High-Load Heel Raises - Rathleff Protocol (Home)you can do this at homeStudies: 4 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Heel pain-plantar fasciitis: revision 2014.May help
Intrinsic Foot Muscle Strengtheningdone with a specialistStudies: 2 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Heel pain-plantar fasciitis: revision 2014.May help
Intrinsic Foot Strengthening (Home)you can do this at homeStudies: 2 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Heel pain-plantar fasciitis: revision 2014.May help
Kinesiology Tapingdone with a specialistStudies: 1 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Heel pain-plantar fasciitis: revision 2014.May help
Hyaluronic Acid Injectiondone with a specialistStudies: 1 · Dutch multidisciplinary guideline on Achilles tendinopathyMay help
Eccentric Exercise + Corticosteroid Injectiondone with a specialistStudies: 1 · not yet reviewedMay help
Eccentric Exercise + High-Volume Injectiondone with a specialistStudies: 1 · not yet reviewedMay help
Eccentric Exercise + PRP Injectiondone with a specialistStudies: 1 · not yet reviewedMay help
Eccentric Exercise + Soft Tissue Treatment (Astym)done with a specialistStudies: 1 · not yet reviewedMay help
Eccentric Plus Modalitiesdone with a specialistStudies: 1 · not yet reviewedMay help
Eccentric Plus Myofascialdone with a specialistStudies: 1 · not yet reviewedMay help
Eccentric Plus Vibrationdone with a specialistStudies: 1 · not yet reviewedMay help
Gait Retraining / Modificationdone with a specialistStudies: 1 · not yet reviewedMay help
Strength Training + Corticosteroid Injectiondone with a specialistStudies: 1 · not yet reviewedMay help
Web-Based Telerehabilitation (Supervised Home Programme)done with a specialistStudies: 1 · not yet reviewedMay help
Corticosteroid Injection (Plantar Fascia)done with a specialistStudies: 10 · Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values., UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach +3Not enough research yet
Fluoroquinolone-Associated Tendinopathydone with a specialistStudies: eight studies · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2Not enough research yet
High-Volume Injection (HVI)done with a specialistStudies: 6 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2Not enough research yet
Platelet-Rich Plasma (PRP)done with a specialistStudies: 4 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final), Dutch multidisciplinary guideline on Achilles tendinopathy +1Not enough research yet
Glyceryl Trinitrate (GTN) Patchdone with a specialistStudies: 3 · Dutch multidisciplinary guideline on Achilles tendinopathyNot enough research yet
Balneotherapy / Peloid (Mud-Pack) Therapydone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Blood Flow Restriction Trainingdone with a specialistStudies: Thirteen studies were included, three on tendinopathy, two on tendon ruptures, and eight on healthy Achilles, patellar, and supraspinatus tendons · not yet reviewedNot enough research yet
Cryotherapy (Self-Applied)you can do this at homeStudies: 1 · not yet reviewedNot enough research yet
Diathermy / TECAR Therapydone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Eccentric + Dietary Supplementdone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Eccentric Exercise + Cryotherapydone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Eccentric Exercise + PEMFdone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Eccentric Plus Splintingdone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Electroacupuncturedone with a specialistStudies: 1 · not yet reviewedNot enough research yet
HILT + Kinesiotapingdone with a specialistStudies: 1 · not yet reviewedNot enough research yet
HILT + Plantar Fascia Stretchingdone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Intramuscular Stimulation (Gunn IMS)done with a specialistStudies: 1 · not yet reviewedNot enough research yet
Modified Eccentric Heel Drop (Insertional)you can do this at homeStudies: 1 · not yet reviewedNot enough research yet
Pain-Monitored Loadingyou can do this at homeStudies: 1 · not yet reviewedNot enough research yet
Whole Body Vibration Trainingdone with a specialistStudies: 3 · not yet reviewedNot enough research yet
Night Splintdone with a specialistStudies: 3 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) +2Science does not support it
Therapeutic Ultrasounddone with a specialistStudies: 3 · UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach, Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 +2Science does not support it
Therapeutic Ultrasounddone with a specialistStudies: 3 · Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT), Heel pain-plantar fasciitis: revision 2014.Science does not support it
Eccentric Exercise + LLLTdone with a specialistStudies: 1 · not yet reviewedScience does not support it

What science does not support

These approaches are widely offered, but published research found they do not help for at least one condition in this area. Listed so you know — not as advice about any individual case.

  • Night SplintNot supported by research

    Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) · Dutch multidisciplinary guideline on Achilles tendinopathy · Physical therapies for Achilles tendinopathy: systematic review and meta-analysis

  • Therapeutic UltrasoundNot supported by research

    UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 · Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final) · Dutch multidisciplinary guideline on Achilles tendinopathy

  • Therapeutic UltrasoundNot supported by research

    Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT) · Heel pain-plantar fasciitis: revision 2014.

  • Eccentric Exercise + LLLTNot supported by research

    not yet reviewed

Whether any of this applies to your situation is something your physiotherapist or doctor can assess after examining you.

Frequently asked

What works for Foot & heel according to research?

Research supports: Night Splint (Self-Applied), Combined Loading (Silbernagel Protocol), Eccentric Exercise (Alfredson Protocol), Eccentric Heel Drop (Alfredson Protocol), Patient Education & Load Management, Heavy Slow Resistance (Home). Based on Heel Pain - Plantar Fasciitis: Revision 2023 (APTA/AOPT); Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values.; Heel pain-plantar fasciitis: revision 2014..

What does not work for Foot & heel according to research?

Research found no benefit from routine use of: Night Splint, Therapeutic Ultrasound, Therapeutic Ultrasound, Eccentric Exercise + LLLT. Based on Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024; Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024 (Final); Dutch multidisciplinary guideline on Achilles tendinopathy.

How much research is this based on?

For Foot & heel, 81 approaches were evaluated, of which 55 have been reviewed by research bodies. Every data point traces to a published source.

Educational InformationPhysioSense is an educational reference tool based on published research. It does NOT replace a medical examination or physiotherapy assessment. If you have severe pain, new symptoms, or are unsure — see a doctor or physiotherapist. You always make the final decision about your exercise. Pain is a signal to stop.